{"id":7144,"date":"2024-01-22T11:00:27","date_gmt":"2024-01-22T11:00:27","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=7144"},"modified":"2024-01-22T20:55:10","modified_gmt":"2024-01-22T20:55:10","slug":"nistagmo-congenito","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/nistagmo-congenito\/","title":{"rendered":"Congenital (infantile\/infant) nystagmus."},"content":{"rendered":"<p>Neuropediatric action protocol. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Transfontanelar ultrasound (in children under 6 months with ultrasound window). <\/li>\n\n\n\n<li>Fundus of the eye (fundamental). <\/li>\n\n\n\n<li>PEV flash (optional). <\/li>\n\n\n\n<li>Neurological and dysmorphological examination, with special attention to dyschromia. <\/li>\n\n\n\n<li>Referral to early care regardless of neurodevelopment (neurodevelopmental risk). <\/li>\n<\/ul>\n\n\n\n<p>Based on the previous findings, assess the indication for neuroimaging testing. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MRI with sedation. <\/li>\n\n\n\n<li>Genetic. <\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Red flag signs<\/strong><\/td><\/tr><tr><td>\u2022 Later onset nystagmus (in the absence of signs in keeping with an ocular disorder).<\/td><\/tr><tr><td>\u2022 Constant oscillopsia in older children.<\/td><\/tr><tr><td>\u2022 Dysconjugate\/gaze evoked\/seesaw\/convergence-retraction nystagmus.<\/td><\/tr><tr><td>\u2022 Horizontal nystagmus becoming vertical in vertical gaze.<\/td><\/tr><tr><td>\u2022 Vertical or torsional nystagmus (in the absence of retinal pathology (e.g. achromatopsia).<\/td><\/tr><tr><td>\u2022 Any associated neurological signs and\/or a systemically unwell child.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"630\" height=\"1024\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-630x1024.png\" alt=\"\" class=\"wp-image-7147\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-630x1024.png 630w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-184x300.png 184w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-768x1249.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-944x1536.png 944w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-1259x2048.png 1259w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2-7x12.png 7w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2024\/01\/image-2.png 1534w\" sizes=\"(max-width: 630px) 100vw, 630px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.nature.com\/articles\/s41433-019-0741-3\">https:\/\/www.nature.com\/articles\/s41433-019-0741-3<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Neuropediatric action protocol. Based on the previous findings, assess the indication for neuroimaging testing. Red flag signs \u2022 Later onset nystagmus (in the absence of signs in keeping with an ocular disorder). \u2022 Constant oscillopsia in older children. \u2022 Dysconjugate\/gaze evoked\/seesaw\/convergence-retraction nystagmus. \u2022 Horizontal nystagmus becoming vertical in vertical gaze. \u2022 Vertical \u2026 <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/en\/nistagmo-congenito\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \"Congenital (infantile\/infant) nystagmus.\"<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":7149,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[48,23,8],"tags":[],"class_list":["post-7144","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-especificamente-pediatricos","category-exploracion-neurologica","category-neonatal","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=7144"}],"version-history":[{"count":3,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7144\/revisions"}],"predecessor-version":[{"id":7162,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7144\/revisions\/7162"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/7149"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=7144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=7144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=7144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}